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About CDC.gov

The San Francisco Health Improvement Partnership (SFHIP) promotes health equity by using a novel collective impact model that blends community engagement with evidence-to-policy translational science. The model involves diverse stakeholders, including ethnic-based community health equity coalitions, the local public health department, hospitals and health systems, a health sciences university, a school district, the faith community, and others sectors.

SFHIP is governed by a steering committee. Partnership working groups for each initiative collaborate to 1) develop and implement action plans emphasizing feasible, scalable, translational-science–informed interventions and 2) consider sustainability early in the planning process by including policy and structural interventions.

Outcome

Through SFHIP’s efforts, San Francisco enacted ordinances regulating sale and advertising of SSBs and a ballot measure establishing a soda tax. Most San Francisco hospitals implemented or committed to implementing healthy-beverage policies that prohibited serving or selling SSBs. SFHIP helped prevent Starbucks and Taco Bell from receiving alcohol licenses in San Francisco and helped prevent state authorization of sale of powdered alcohol. SFHIP increased the number of primary care clinics providing fluoride varnish at routine well-child visits from 3 to 14 and acquired a state waiver to allow dental clinics to be paid for dental services delivered in schools.

Interpretation

The SFHIP model of collective impact emphasizing community engagement and policy change accomplished many of its intermediate goals to create an environment promoting health and health equity.

Poor performance in achieving population health goals is well-noted - approximately 10% of public health measures tracked are met. Less well-understood is how to create conditions that produce these goals. This article examines some of the factors th...

The Clinical and Translational Science Award (CTSA) initiative calls on academic health centers to engage communities around a clinical research relationship measured ultimately in terms of public health. Among a few initiatives involving university ...

National Expert Panel on Social Determinants of Health Equity. Centers for Disease Control and Prevention (U.S.). National Association of Chronic Disease Directors..

Published:

September 25, 2009

Description:

Intransigent and growing health inequities call for new thinking about the role of public health in creating the conditions in which all people can be healthy. A renewed paradigm informed by public health’s historical social justice roots is needed...

National Center for Chronic Disease Prevention and Health Promotion (U.S.), Division of Adult and Community Health., Prevention Research Centers Program.. Centers for Disease Control and Prevention (U.S.). National Center for Injury Prevention and Control (U.S.).

Clinical and Translational Science Awards Consortium, Community Engagement Key Function Committee., Task Force on the Principles of Community Engagement.. United States, Agency for Toxic Substances and Disease Registry.. Centers for Disease Control and Prevention (U.S.).